Nicole Mule, LPN
Individual provider Active NPI Licensed Practical Nurse · Pine Bush, NY
NPI 1508213265 · NPPES record last updated May 23, 2016
Key facts
- NPI
- 1508213265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 311047 (NY)
- Practice address
- 172 County Route 17
Pine Bush, NY 12566-6301 - Phone
- (845) 275-4176
- NPI assigned
- May 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 311047 | NY | Yes |
Addresses
Primary practice location
172 County Route 17
Pine Bush, NY 12566-6301
Mailing address
PO Box 75
Thompson Ridge, NY 10985-0075
Phone (845) 275-4176
Other providers in Pine Bush, NY
- Mary Helen Micinowski
- Middletown Community Health Center Inc
- Susan Miller Rannestad
- Montefiore Medical Center
- Beth Morales
- Kerry A Murphy
- Mary Cordelia Myers
- National Birth Centers, Inc.
- Kristina Marie Nickel
- Jennifer Helen Ostrow
All providers in Pine Bush, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.